| NPI | 1861627499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0057769) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11014869A) |
| 207Q00000X Family Medicine (Licence: FL ME174561) | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2025-07-25 |